title: [Dysfunction of Oddi's sphincter, a problem diagnosis].
abstract: Problems of the diagnosis of Oddi's sphincter dysfunction are discussed based on experiences gained mostly in cholecystectomized patients. In every case the existence of an organic lesion interfering with free bile flow was ruled out. The functional nature of the lesion was verified by using the morphine-choleretic test combined with either dynamic hepatobiliary scintigraphy or percutaneous transhepatic cholangiography. Illustrative cases are demonstrated.
mesh_terms: D014670:Ampulla of Vater / Q000503:physiopathology*; D001219:Aspartate Aminotransferases / Q000097:blood; D002756:Cholagogues and Choleretics; D002760:Cholangiopancreatography, Endoscopic Retrograde; D002763:Cholecystectomy / Q000009:adverse effects*; D003137:Common Bile Duct Diseases / Q000175:diagnosis; D006801:Humans; D009020:Morphine; D005996:Nitroglycerin / Q000627:therapeutic use; D011877:Radionuclide Imaging; D009803:Sphincter of Oddi / Q000000981:diagnostic imaging / Q000503:physiopathology*
chemical_list: D002756:Cholagogues and Choleretics; D009020:Morphine; D001219:Aspartate Aminotransferases; D005996:Nitroglycerin
vernacular_title: Dysfunktion des Sphincter Oddi, eine Verlegenheitsdiagnose?